Individual provider · Type 1 NPI

Angela Marie Tague, L.M.T.

Massage Therapist · Port Orange, FL

NPI number 1164747374 Active

Practice location

3106 Waterway Pl
Port Orange, FL 32128-7238

Call (386) 756-4332 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA51765 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1164747374

Angela Marie Tague, L.M.T.'s National Provider Identifier is 1164747374, issued on Mar 30, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orange, FL. The record was last updated on Mar 30, 2010.